MALÁRIA EM GESTANTES ATENDIDAS NO HOSPITAL DA MULHER MÃE LUZIA, EM MACAPÁ, AMAPÁ, BRASIL.

Malaria is an infectious, parasitic and systemic character with episodic manifestations of acute and chronic disease caused by protozoa of the genus Plasmodium and transmitted to humans by the bite of female mosquito of the Anopheles genus. Pregnant women are vulnerable to malaria because their immune status changes during pregnancy, making it more susceptible to changes in pregnancy. This paper aims to describe the occurrence of cases of malaria in pregnant women attending the Women's Hospital Mother Luzia (HMML) in Macapa, Amapa, in the period 2009 to 2010. It is a desk study, which used a quantitative approach, with retrospective data collection. The results show that the anemia occurred in 92, 6% of pregnant women with malaria, whose highest proportion occurred in pregnant women infected with P. falciparum; thrombocytopenia was found in 100% of the women studied; the major obstetric findings, associated with malaria, were oligohydramnio, the threat of premature birth and fetal death; the average general hospital in pregnant women infected with malaria was three times the length of treatment recommended by Ministry of Health, and most average time of treatment occurred in pregnant women infected with P. falciparum and treated with Coarten ®. We conclude that malaria infection in pregnant women occurs primarily in young women infected with P. vivax, the thrombocytopenia and anemia being the main hematologic changes caused in particular by the way P. falciparum; and there was no consensus among the therapeutic procedures performed.Keywords: Malaria; Pregnancy; Plasmodium; Macapa; Amapa.Malaria is an infectious, parasitic and systemic character with episodic manifestations of acute and chronic disease caused by protozoa of the genus Plasmodium and transmitted to humans by the bite of female mosquito of the Anopheles genus. Pregnant women are vulnerable to malaria because their immune status changes during pregnancy, making it more susceptible to changes in pregnancy. This paper aims to describe the occurrence of cases of malaria in pregnant women attending the Women's Hospital Mother Luzia (HMML) in Macapa, Amapa, in the period 2009 to 2010. It is a desk study, which used a quantitative approach, with retrospective data collection. The results show that the anemia occurred in 92, 6% of pregnant women with malaria, whose highest proportion occurred in pregnant women infected with P. falciparum; thrombocytopenia was found in 100% of the women studied; the major obstetric findings, associated with malaria, were oligohydramnio, the threat of premature birth and fetal death; the average general hospital in pregnant women infected with malaria was three times the length of treatment recommended by Ministry of Health, and most average time of treatment occurred in pregnant women infected with P. falciparum and treated with Coarten ®. We conclude that malaria infection in pregnant women occurs primarily in young women infected with P. vivax, the thrombocytopenia and anemia being the main hematologic changes caused in particular by the way P. falciparum; and there was no consensus among the therapeutic procedures performed. Esta obra está licenciada sob uma LicençaCreative Commons Attribution 4.0 Internacional Macapá, v. 3, n. 1, p. 74-84, 2013Disponível em http://periodicos.unifap.br/index.php/biotaSubmetido em 21 de Março de 2013 / Aceito em 27 de Junho de 2013 Keywords: Malaria, Pregnancy, Plasmodium, Macapá, Amapá.A malária é uma doença infecciosa e parasitária com manifestações episódicas de caráter agudo e de evolução crônica, causada por um protozoário do gênero Plasmodium e transmitida ao homem pela picada do mosquito fêmea do gênero Anopheles. As mulheres grávidas são vulneráveis à malária porque o seu estado de imunidade se modifica durante a gestação, tornando-a mais suscetível às alterações no curso da gravidez. Este trabalho tem como objetivo descrever a ocorrência de casos da malária em gestantes atendidas no Hospital da Mulher Mãe Luzia (HMML), em Macapá, Amapá, no período de 2009 a 2010. Trata-se de um estudo documental, que utilizou a abordagem quantitativa, com coleta retrospectiva de dados. Os resultados apontam que a anemia ocorreu em 92,6% das gestantes com malária, cuja maior proporção ocorreu nas grávidas infectadas com o P. falciparum; a plaquetopenia foi encontrada em 100% das gestantes estudadas; os principais achados obstétricos, associados à malária, foram o oligodrâmnio, a ameaça de parto prematuro e o óbito fetal; o tempo médio geral de internação nas gestantes infectadas com malária foi três vezes superior ao tempo de tratamento recomendado pelo Ministério da Saúde, e a maior média de tempo de tratamento ocorreu nas gestantes infectadas com o P. falciparum e tratadas com o Coarten®. Conclui-se que a infecção malárica em gestantes ocorre, principalmente, em mulheres jovens infectadas pelo P. vivax, sendo a plaquetopenia e a anemia as principais alterações hematológicas, causadas, em especial pela forma P. falciparum; e não houve consenso entre os procedimentos terapêuticos realizados..Palavras-chave: Malária, Gestante, Plasmódio, Macapá, Amapá